Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | R8663 | TX |
NPI | 1003228776 |
---|---|
Provider Name | Stephanie Schaefer |
First Address | San Antonio, TX 78258-3916 |
Second Address | San Antonio, TX 78258-3916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2014 |
Last Update Date | 28/12/2018 |